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Oregon Medicaid

Oregon Medicaid: Oregon Health Plan (OHP)

Oregon Health Plan (OHP) is a state health care coverage for eligible low-income Oregonians, including children, pregnant individuals, single adults, and seniors.

OHP covers physical, dental and mental health care substance use disorder treatment. It also covers lab tests, X-rays and hospital care, including traditional Native American healing practices.

In Oregon, the Oregon Health Plan (OHP) primarily operates through a network of 16 Coordinated Care Organizations  (CCOs) serving different regions across the state. These local plans integrate physical, mental, and dental health services into a single delivery system.

FAQ

What is the maximum income to qualify for OHP?

As Oregon is expanding Medicaid coverage, nearly all uninsured Oregonians age 19–64 with income up to 138% of the federal poverty level may now gain coverage under the Affordable Care Act (ACA).

Children under 18 are eligible at higher income limits. Oregon now allows children to stay enrolled until age 6 regardless of income changes.1

Oregon Health Plan income limits by household size
Oregon Health PlanHousehold Size305% Child 0—18190% Pregnant Women138% Adults 19—64
1$4,057$2,527$1,835
2$5,500$3,426$2,489
3$6,944$4,326$3,142
4$8,388$5,225$3,795
5$9,831$6,124$4,448
6$11,275$7,024$5,101
7$12,719$7,923$5,755
8$14,162$8,822$6,408
A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

How do I apply for Oregon Health Plan?

Applications for Oregon Health Plan are accepted online through the ONE system  or in person at a local Oregon Department of Human Services (ODHS) office.

Oregon is also operating a State-Based Marketplace, known as Cover Oregon , through which you can apply for Oregon Health Plan, Healthy Kids and private insurance plans.

Oregon Health Authority (OHA)
Oregon Health Plan / ONE Customer Service
(800) 699-9075

Data and figures on this page come from the sources and notes below:

Footnotes

  1. Oregon pioneers continuous Medicaid coverage for kids through their 6th birthday  ↩

SingleMotherGuide.com is an independent website and is not affiliated with any government agency. Program amounts and income limits are compiled from official federal and state sources, which are cited on the page, and are reviewed periodically and updated as those sources change.

The information is provided for general guidance and is not legal or financial advice. The administering agency makes the final determination of eligibility and benefit amounts. To report an error, please contact us.

Figures on this page are compiled from the public sources cited above and may change; refer to the cited sources for the most current information.

Last updated
Updated by
Ada Hu
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